Insight, analysis & opinion from Joe Paduda
This morning’s workcompcentral arrived with the news that hospitals and device manufacturers somehow are arguing the huge overpayment for surgical devices in California is justified because of the “additional costs” of putting these devices in comp claimants. Seems the California … Continue reading Providers’ unmitigated gall
Read More...Update – this morning we find out that only two states – MO and TX – test compounded drugs, and their findings are alarming indeed. The strength of the potions concocted by compounders can vary greatly, with Texas determining a … Continue reading Killing compounds and workers comp – UPDATE
Read More...Normally, I am more comfortable calling attention to the issues rather than to myself… but I would be remiss in not thanking the IAIABC for their recent recognition of my efforts to address opioid overuse and physician dispensing in workers’ … Continue reading Mutual Admiration Society
Read More...WorkCompCentral’s Mike Whiteley reported this morning that Florida’s Prescription Drug Management Program (PDMP) is in danger of running out of money [sub req], just over a year after it got started, leaving doctors and dispensers with no way to monitor their … Continue reading Florida’s failing drug program
Read More...The group of five Maryland physicians charged with inappropriate prescribing are getting their day in court – or rather, the court is getting their day with the docs. According to an article [sub req] in the Daily Record, “IWIF [Maryland state … Continue reading Maryland’s medical miscreants coming to justice
Read More...For refusing to pay the massive markups on physician-dispensed repackaged drugs for workers comp claimants. The move saved MD over half a million dollars, money desperately needed for teachers and teaching aides. The news was reported in this morning’s WorkCompCentral … Continue reading Kudos to Miami-Dade Schools for saying no to repackagers
Read More...This is a pretty simple question. How is it that an investment firm owns stakes in a TPA, MSA company, subrogation firm – and a physician dispensing and billing company? That’s the question I’ve tried to ask folks at ABRY … Continue reading ABRY’s investments in work comp; what am I missing?
Read More...With this morning’s post, we’ve moved to WordPress as the publishing platform. We’ve also updated the look and feel of MCM to make it a bit “sleeker”, easier to navigate, and more user-friendly. Julie Ferguson and Chris Miller (boss at … Continue reading Managed Care Matters – new and improved
Read More...I’ve heard from several folks contending that Aetna will sell Coventry’s workers comp business, all making essentially the same points. 1. Aetna already has exited comp twice – once when they sold their workers comp insurance business to the Travelers, … Continue reading The case for Aetna’s sale of Coventry’s workers comp business
Read More...That’s a question I’ve been asked a couple dozen times over the last two weeks. For several reasons I don’t see Aetna selling the Coventry workers comp business. 1. It generates a ton of cash. While the financials are a … Continue reading What will Aetna do with Coventry’s work comp business?
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